I-Mini Incision Parotidectomy

I-parotid gland iyi-salivary gland enkulu kunazo zonke emzimbeni womuntu, etholakala ngemuva komhlathi ngaphambili nangaphansi kwezindlebe. I-Parotid gland ingakha izimila. I-Parotidectomy inqubo yokuhlinzwa esusa yonke noma ingxenye yengxenye ethintekile ye-salivary gland. Inzwa eyaziwa ngokuthi i-facial nerve idlula kwi-parotid gland, ihlukanise i-gland ibe izingxenye ezimbili: i- superficial kanye ne- deep lobes, bese ihlinzeka ngemisipha yobuso.

I-superficial parotidectomy yigama lezokwelapha lokuhlinzwa ukuze kukhishwe isimila ku-lobe engaphezulu. I-parotidectomy ephelele isho ukuhlinzwa ukuze kukhishwe isimila engxenyeni ejulile noma kuzo zombili izinkalo ezijulile nezingaphezulu. I-Parotidectomy ingase yenzelwe ukwelapha umdlavuza wamathe amaningana nezimo ezingezona ezimbi, okuhlanganisa ukutheleleka okungapheli noma ukuvinjelwa kwendlala yamathe.

Iyini I-Mini Incision Parotid Surgery futhi ihluke kanjani ekuhlinzweni kwendabuko?

Ukuhlinzwa kwe-Parotidectomy kungenye yezinqubo ezivamile zekhanda nentamo. Odokotela abahlinzayo e-Apollo Hospitals Karnataka bangenza ukuhlinzwa kwe-Mini Incision Parotidectomy eBangalore ngokwenza ukuhlinzwa okungu-2.5-3 cm ngemuva kwendlebe, befihla isilonda.

Ukusikwa okujwayelekile kokuhlinzwa kwe-parotidectomy kuqala phambi kwe-earlobe, kuqhubeke ngaphansi kwe-earlobule, bese kwehlela entanyeni ibanga elingama-8 kuya kwangu-10 cm. Ngemva kokuhlinzwa, lokhu kusikwa kushiya isibazi esingabukeki ebusweni nasentanyeni. Ngokungafani nokusikwa okuvamile, i- Mini Incision Parotid Surgery eBangalore iphumela ekusikweni okuncane kakhulu nokufihliwe okungama-2.5-3 cm ubude ngemuva kwe-earlobe ekuqhekekeni kwe-post-aural. Inani lokusikwa kwesilonda liyafana, kodwa kwenziwa nge-keyhole, okufana nokuhlinzwa kwe-laparoscopic uma kuqhathaniswa nokuhlinzwa kwendabuko. Lolu hlobo lokuhlinzwa luphumela esibayeni esincane esifihliwe, ukulahlekelwa igazi okuncane, ukululama okusheshayo, kanye nokubuyela emisebenzini evamile kusenesikhathi.

Inqubo yenziwa kanjani?

Ngaphambi kokuhlinzwa

Ngaphambi kwenqubo, udokotela uzokwenza ukuhlolwa kwangaphambi kokuhlinzwa lapho ezobuyekeza amarekhodi ezokwelapha esiguli futhi achaze inqubo. Ukuhlolwa okuningana kwangaphambi kokuhlinzwa kungenziwa ngaphambi kwe-parotidectomy. Lezi zivivinyo zihlanganisa:

1. Ukuhlolwa kwezithombe zokuxilonga - Ukusetshenziswa kwezindlela zokuxilonga zokuxilonga ezifana ne-computed tomography (CT) scan kanye ne-magnetic resonance imaging (MRI) kusiza odokotela abahlinzayo ekutholeni isimila futhi babhekane nanoma yiziphi izinkinga. Ukuthwebula kunenzuzo ikakhulukazi uma isimila siseduze nenzwa yobuso.
2. I-Biopsy - I-fine-needle aspiration biopsy (FNA) iyinqubo ye-biopsy evame ukwenziwa ngaphambi kwe-parotidectomy. Udokotela angase enze i-FNA esimila ukuze abone ukuba khona kwamangqamuzana omdlavuza.

Isiguli sizothola iziqondiso kudokotela mayelana nendlela yokulungiselela i-parotidectomy, okuhlanganisa ukuthi yimiphi imithi okufanele siyiphuze noma iyekwe, lapho kufanele uyeke ukudla nokuphuza ngaphambi kokuhlinzwa, neminye imininingwane ebalulekile.

Ngesikhathi Sokuhlinzwa

Kulokhu kuhlinzwa, isiguli sizonikezwa i-anesthesia evamile, ezokwenza ukuba umuntu alale kuyo yonke inqubo .Udokotela ohlinzayo ufaka imbobo ngemuva kwe-ear lobule. Uma i-gland isisusiwe, i-incision ihlanganiswa ndawonye. Cishe amasonto ama-2 ngemuva kwenqubo, ama-sutures kufanele asuswe. Ekupheleni kokuhlinzwa, kufakwa ishubhu elincane esikhumbeni embotsheni engaphansi kwesikhumba ukuze kukhishwe noma yiliphi igazi elinqwabelene. Ngokuvamile, leli bhubhu likhishwa ekuseni ngemva kokuhlinzwa.

Ngemuva kwenqubo

Iziguli kudingeka zichithe usuku olulodwa esibhedlela ukuze zihlinzwe i -Mini Incision Parotidectomy eBangalore ngokulandela ukuhlinzwa kwazo ukuqinisekisa ukuthi zithola ukunakekelwa okuphephile nokuphumelelayo kakhulu ngemva kokuhlinzwa. Phakathi nalesi sikhathi, iziguli zinikezwa ama-antibiotic ukuze zinciphise ingozi yokutheleleka, futhi ukuphathwa kwazo ubuhlungu kuqashwe ngokucophelela ngenkathi zilaliswe esibhedlela.

Yiziphi izinkinga ze-Mini Incision Parotidectomy?

Izingozi ezihlobene ne-parotidectomy ngokuvamile azivamile kakhulu. Kodwa-ke, uma izinkinga zivela, zingabandakanya:

1. Ukuba ndikindiki endlebeni - Ukuba ndikindiki kwe-lobule yendlebe kuvamile ngemva kokuhlinzwa kwe-Parotid yendlebe kuyivelakancane kakhulu.
2. Ubuthakathaka Bobuso- Amathuba okuba buthakathaka kwesikhashana kobuso ngu-5-10% kanti ukukhubazeka okuhlala njalo kungaphansi kuka-2% nge-mini-incision parotidectomy Ukukhubazeka Okungapheli kungenzeka kuphela ezimeni zomdlavuza we-parotid osabalala ngomsipha wobuso.
3. I-Seroma- Ukuqoqwa kwe-Serous fluid kwenzeka ku-5-10% Ezimeni eduze nendawo yokuthunga ngemva kwezinsuku ezingu-3-5 zokuhlinzwa. Inekhava yodwa emavikini angu-1-2 futhi ayidingi ukwelashwa okuqondile.

Kuthatha isikhathi esingakanani ukululama ngemva Kokuhlinzwa?

Ukubuyisela ngemva kwenqubo yokusika okuncane kufushane kakhulu. Isiguli singaqalisa futhi ukusebenza ngemva kwezinsuku ezingu-2-3 .Uma kukhona ubuthakathaka buyathuthuka emavikini angu-4-6. Ubuhlungu bangemva kokuhlinzwa buncane kakhulu ngemva kwale ndlela.

Indlela yokuphila iyashintsha ngemva kokuhlinzwa kwe-Parotid Gland

Ukushintsha indlela yokuphila kungase kudingeke ukuze umuntu alulame ngemva kokususwa kwendlala ye-parotid. Ukunciphisa ukucindezeleka kwezicubu eziphulukisayo, kunconywa ukuthi uqale ngokugwema imisebenzi enzima futhi unamathele ekudleni okuthambile. Ukwelashwa ngokomzimba nokuzivocavoca kobuso kungase kunqunywe ngokuhamba kwesikhathi ukuze kubuyiselwe ukusebenza kwemisipha evamile ebusweni. Ukuze ululame ngokushesha, kubalulekile ukuthi uhlale uqaphile noma yiziphi izimpawu zokutheleleka, ukuvuvukala ngokweqile, noma izimpawu ezingavamile futhi uzibike kudokotela wakho ngokushesha.

Izinzuzo ze-Mini Incision Parotidectomy

• Ukusika okuncane nokuncane okungaphazamisi - Ukusika okuncane nokuncane kuphumela ekuncipheni kwezibazi, ubuhlungu obuncane, ukuncipha kokuhlukumezeka kwezicubu, ukuncipha kwegazi, kanye nesikhathi sokululama ngokushesha.
• Ubuhle bobuso - Lokhu kusiza ukuzuza ukubukeka okunokulinganisela nokujabulisa ngobuhle.
• Amathuba ancishisiwe we-Frey's syndrome - Ukuhlinzwa kwe-parotid okuvamile kuvame ukuholela kumphumela ongemuhle novamile owaziwa ngokuthi i-Frey's syndrome(Ukujuluka ngenkathi udla i-Mini-incision parotidectomy akubangeli i-Frey's syndrome.
• Izinkinga: Amathuba Ezinkinga mancane kakhulu ngokuhlinzwa kwe-parotid encane .

I-Mini Incision Parotidectomy e-Apollo Hospitals Karnataka

Isibhedlela i-Apollo, eKarnataka, yisibhedlela esikhulu nesithembeke kakhulu uma kukhulunywa nge -Mini Incision Parotidectomy eBangalore . Sizibophezele ekuhlinzekeni ukunakekelwa okuvelele komuntu siqu kanye nensizakalo yamakhasimende. Udokotela wethu we-ENT & Head Neck Oncosurgeon ongcono kakhulu eBangalore , ozinikele ekuletheni imiphumela emihle kakhulu futhi uqeqeshwe kakhulu. Isibhedlela sethu sihlonyiswe ngobuchwepheshe bamuva futhi yisona kuphela isibhedlela sezinga lomhlaba esihlinzeka nge -Mini Incision Parotidectomy emhlabeni . Ukunakekelwa okuphuthumayo kanye nokubonisana kuyatholakala esibhedlela futhi kungahlelwa ngocingo olulula.

– Dr. P Subramanya Rao